Affiliation:
1. Department of Surgery Kishiwada Tokushukai Hospital Kishiwada Japan
2. Department of Surgery Shiga General Hospital Moriyama Japan
Abstract
AbstractIt remains unclear whether the application of surgery to gastric cancer with peritoneal carcinomatosis prolongs survival. Twenty studies on conversion surgery were reviewed. Key points were the response to chemotherapy, complete resection, and a low tumor burden at the time of surgery. A bidirectional approach has been developed to increase the response rate. There are two different strategies in surgery. The outcomes of ongoing trials may clarify controversial issues.